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Interdisciplinary Pain Board for Managing Patients with Palliative Care Needs and Substance Use Disorder: A Pilot
Sarah Hauke Given1,2, Patricia Reid Ponte2, Kate Lally1,3,4
1Division of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Journal of Palliative Medicine
|June 20, 2024
Summary
A Complex Pain Board (CPB) is a feasible and acceptable interdisciplinary meeting for managing cancer pain with substance use disorder (SUD). This approach supports palliative care clinicians in complex patient cases.
Area of Science:
- Palliative Care
- Oncology
- Addiction Medicine
Background:
- Managing cancer-related pain alongside substance use disorder (SUD) poses significant challenges for palliative care teams.
- A structured interdisciplinary approach is crucial for effectively addressing the complex needs of this patient population.
Purpose of the Study:
- To evaluate the feasibility and acceptability of a palliative care Complex Pain Board (CPB).
- To assess the CPB's utility in generating care recommendations for patients with cancer-related pain and concurrent SUD or psychosocial complexity.
Main Methods:
- Retrospective analysis of 28 cases presented at the CPB from May 2021 to June 2022.
- Cross-sectional analysis of surveys from 40 CPB participants.
Main Results:
- Substance use disorder (SUD) was the primary referral reason for 78.6% of cases.
- Key recommendations included interdisciplinary collaboration (64.3%) and SUD management (46.4%).
- 95% of participants found the CPB acceptable and were likely to continue attending.
Conclusions:
- The Complex Pain Board (CPB) is a feasible and acceptable intervention for palliative care clinicians.
- CPB facilitates interdisciplinary collaboration, peer support, and effective management strategies for complex cancer pain and SUD cases.
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